ESBD_370299_1722523034524_Exhibit_D_Bidder_Reference_Qualifications_Form.pdf
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- Solicitation number
- HHS0015062A
- Issued by
- Lampasas County, Texas
About this file
The document is Exhibit D - Bidder Reference Form and Contract Qualifications Form related to a state and local contract opportunity in Texas. The contract is for the rental of 150# chlorine gas cylinders for the Mexia State Supported Living Center's wastewater treatment plant. Bidders must provide a minimum of three verifiable references for similar contracts completed within the last five years, including details on the services performed, contract dates, and whether the bidder acted as a prime contractor or subcontractor. The bidder must also provide information on their company, including years in business, number of employees, geographic limits, industry certifications, and relevant licenses held by staff. Additionally, the bidder must provide a narrative describing their experience and qualifications as they relate to the minimum requirements in Section 7.1.5 of the solicitation, as well as a written description of their operational capabilities to fulfill the contract.
The solicitation has a response deadline of August 19, 2024, at 10:30 AM Central Time, with an anticipated contract start date of September 1, 2024. The procurement schedule includes a deadline for submitting questions or clarifications on August 12, 2024, and the posting of responses on August 14, 2024.
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Exhibit D – Bidder Reference Form and Contract Qualifications Form – 03/01/24
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
Bidders must provide a minimum of three (3) verifiable references for contracts of similar size and scope of services within the last five (5) years.
For each reference, provide the following and attach to the Response any documentation to support the information regarding current or prior contracts.
1. Business Name:
Point-of-Contact Name and Title:
Address (City, State, Zip):
Phone:
Email address:
Services Performed as Prime Contractor or as Subcontractor?
[Prime Contractor] or [Subcontractor]
Description and Dates of Services Provided:
2. Business Name:
Point-of-Contact Name and Title:
Address (City, State, Zip):
Phone:
Email address:
Services Performed as Prime Contractor or as Subcontractor?
[Prime Contractor] or [Subcontractor]
Description and Dates of Services Provided:
3. Business Name:
Point-of-Contact Name and Title:
Address (City, State, Zip):
Phone:
Email address:
Services Performed as Prime Contractor or as Subcontractor?
[Prime Contractor] or [Subcontractor]
Description and Dates of Services Provided:
Additional Company Information:
Number of Years in Business:
Office Address:
Current Number of Permanent, Full-Time Employees:
Current Number of Permanent, Part-Time Employees:
Current Total Number of Employees:
Geographic Limits of Operations:
List any Industry Certifications/Qualifications/Formal Training Programs that your staff (who will be servicing this account) have been certified in:
Name Certifications/Qualifications/Formal Training
List any applicable licenses currently held by staff that will service this account:
Name License Number
Bidder’s Minimum Experience and Qualifications- Section 7.1.5
Provide a narrative (maximum of one page) describing the bidder’s experience and qualifications as it applies to this Section.
Demonstration of the Ability to Perform
Provide a written description of the size and scope of all operations, including the number of Bidder’s employees available to provide customer service, order fulfillment, safe shipping and handling of product and the number of supervisors for each location, as applicable.
Exhibit D – Bidder Reference Form & Contractor Qualifications Form
File details come from the government source that posted it. Updated .